Polycystic ovary syndrome (PCOS) yog qhov tsis txaus tshuaj hormone uas cuam tshuam txog 10% ntawm cov poj niam uas muaj menyuam hnub nyoog. Cov poj niam nrog PCOS feem ntau ntsib lub sijhawm tsis xwm yeem, pob txuv, hnyav dhau, teeb meem kev muaj menyuam, thiab lwm yam tsos mob. Feem ntau kuj tseem muaj cov qog ntshav hauv lub zes qe menyuam uas tuaj yeem kuaj pom los ntawm kev kuaj mob ultrasound. PCOS tuaj yeem tshwm sim rau cov menyuam ntxhais hnub nyoog 11 xyoos, tab sis nws tseem tuaj yeem tshwm sim tom qab hnub nyoog, uas yog thaum lawv hluas, 20s, lossis laus dua. Vim tias PCOS tuaj yeem cuam tshuam loj heev rau cov tshuaj hormones, kev coj khaub ncaws, pom lub cev, thiab muaj menyuam, kev kuaj mob ntxov yog qhov tseem ceeb. Paub txog PCOS thiab tau txais kev saib xyuas mob nkeeg thaum ntxov li sai tau tuaj yeem pab txo qis qhov teeb meem mus sij hawm ntev.
Kauj ruam
Ntu 1 ntawm 3: Paub Cov tsos mob tseem ceeb ntawm PCOS
Kauj Ruam 1. Sau koj lub caij coj khaub ncaws
Yog tias koj muaj PCOS, koj lub sijhawm yuav tsis xwm yeem, tsis txaus, lossis tsis yog txhua lub sijhawm. Saib xyuas qhov txawv txav ntawm kev coj khaub ncaws, nrog rau lub sijhawm ntev ntawm lub sijhawm, lub sijhawm ntev uas tsis tuaj, hnyav heev lossis lub sijhawm luv, thiab los ntshav thaum nruab hnub. Paub txog cov hauv qab no:
- Lub sijhawm nruab nrab ntawm lub sijhawm ntev dua 35 hnub
- Kev coj khaub ncaws tsawg dua 8 zaug hauv ib xyoos
- Tsis muaj poj niam ntau tshaj 4 lub hlis
- Qhov ntev ntawm kev coj khaub ncaws thaum koj muaj lub teeb heev lossis hnyav heev
- Kev tshawb fawb qhia pom tias kwv yees li 50% ntawm cov neeg mob PCOS tau ntsib kev ncua ntev ntawm lub sijhawm (uas yog hu ua oligomenorrhea). Kwv yees li 20% ntawm cov neeg mob PCOS tsis muaj lub sijhawm hlo li (uas yog hu ua amenorrhea). Tsis tshua muaj los yog tsis meej ovulation yog hu ua oligoovulation, qhov anovulation yog qhov xwm txheej uas ovulation tsis tshwm sim txhua. Yog tias koj xav tias koj lub cev tsis ntov qe - seb lub hauv paus ua rau PCOS lossis lwm yam mob - mus ntsib kws kho mob tam sim.
Kauj Ruam 2. Saib xyuas kom plaub hau loj tuaj ntawm lub ntsej muag thiab lub cev
Tus poj niam noj qab nyob zoo lub cev muaj qib qis ntawm androgens ("txiv neej" cov tshuaj hormones). Polycystic ovaries zoo li tsim ntau dua li ib txwm ntawm androgens vim muaj qib qib luteinizing hormone (LH) thiab insulin (LH hauv qib ib txwm tswj kev coj khaub ncaws. thiab cov qe tsim los ntawm tes.) Qhov xwm txheej tuaj yeem ua rau muaj teeb meem tshwm sim, suav nrog kev loj hlob plaub hau ntau dhau ntawm lub ntsej muag thiab lub cev hu ua hirsutism.
Kev loj hlob ntawm cov plaub hau ntau tuaj yeem tshwm sim ntawm lub ntsej muag, hauv plab, ntiv taw, ntiv tes xoo, hauv siab, lossis nraub qaum
Kauj Ruam 3. Saib xyuas plaub hau poob thiab plaub hau
Cov qib androgen ntau dhau kuj tseem tuaj yeem ua rau plaub hau poob, ua kom yuag, lossis txiv neej ua qauv tsis haum. Cov plaub hau tej zaum yuav txo qis. Saib xyuas kom muaj plaub hau ntau dua li ib txwm nyob hauv chav dej, piv txwv.
Kauj Ruam 4. Saib xyuas rau cov tawv nqaij oily, pob txuv, lossis khaus khaus
Hyperandrogenism (ntau ntau androgen ntau ntau) kuj tuaj yeem ua rau cov tawv nqaij oily thiab nce ntxiv ntawm cov pob ntxau. Koj tseem tuaj yeem ntsib cov plaub hau, uas yog tawv taub hau.
Kauj Ruam 5. Nug koj tus kws kho mob txog zes qe menyuam polycystic
Polycystic zes qe menyuam yog zes qe menyuam uas muaj ntau dua 12 lub hlwv, txhua tus yog 2-9 hli txoj kab uas hla. Cov hlwv nyob ib ncig ntawm ntug ntawm zes qe menyuam, yog li qhov loj ntawm zes qe menyuam nce ntxiv. Hauv qee kis, yuav tsum tau phais kom tshem tawm cov hlwv. Kom paub meej tias tus mob polycystic zes qe menyuam, tus kws kho mob yuav ua qhov kev kuaj mob ultrasound.
Tham nrog cov txiaj ntsig ntawm ultrasound nrog tus kws kho mob endocrinologist. Cov kws kho mob endocrinologist tshwj xeeb hauv cov teeb meem ntawm kev yug me nyuam thiab yug me nyuam, xws li PCOS, endometriosis, hauv vitro fertilization, thiab uterine txawv txav. Yog tias cov txiaj ntsig ntawm ultrasound tsis tau tshuaj xyuas los ntawm tus kws tshaj lij, polycystic ovaries feem ntau hu ua "ib txwm", txhais tau tias tsis muaj qog. Tias yog vim tus kws kho mob tsis muaj kev cob qhia kom paub txog qhov teeb meem tshwj xeeb. Qee zaum, cov kws kho mob tuaj yeem txheeb xyuas qhov teeb meem tsis raug, lossis qhia tias cov neeg mob siv sijhawm ntau kom poob phaus vim PCOS
Ntu 2 ntawm 3: Paub txog PCOS-cuam tshuam nrog cov tsos mob
Kauj Ruam 1. Saib xyuas rau hyperinsulinemia
Hyperinsulinemia yog ib qho xwm txheej ntawm qib insulin ntau dhau. Tus mob no qee zaum yuam kev rau ntshav qab zib lossis hypoglycemia. Txawm li cas los xij, hyperinsulinemia yog ib yam mob hauv nws tus kheej. Hauv cov neeg mob PCOS, qhov xwm txheej no tshwm sim vim lub cev nyhav tiv thaiv cov tshuaj insulin. Mus ntsib kws kho mob yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no:
- Qhov hnyav nce
- Xav noj qab zib
- Feem ntau tshaib plab lossis tshaib plab heev
- Nyuaj siab mloog lossis nyob twj ywm
- nyob tsis tswm lossis ntshai
- Nkees
- Raws li cov tsos mob ntawm PCOS, hyperinsulinemia yog txuam nrog kev tsim cov tshuaj androgen ntau ntxiv. Qhov no tuaj yeem ua rau tawv nqaij oily, pob txuv, thiab plaub hau loj hlob ntau ntxiv ntawm lub ntsej muag thiab lub cev. Ib qho ntxiv, yuav muaj qhov hnyav nce nyob ib ncig ntawm lub plab.
- Yog tias koj tus kws kho mob xav tias hyperinsulinemia, koj yuav raug nug kom ua qhov kev kuaj ntshav qabzib (GTT).
- Kev kho rau hyperinsulinemia suav nrog kev noj zaub mov thiab kev tawm dag zog lub cev, thiab tej zaum yuav yog cov tshuaj hu ua Metformin, uas tuaj yeem txo qis cov tshuaj insulin. Txawm hais tias koj tus kws kho mob sau ntawv tshuaj Metformin lossis tsis yog, nug kom xa mus rau tus kws noj zaub mov noj. Ib txoj kev npaj noj zaub mov zoo yog ib feem tseem ceeb ntawm kev kho mob.
- Txheeb xyuas cov tshuaj insulin sai, piam thaj, hemoglobin A1c, thiab qib c-peptide. Txawm hais tias tsis muaj kev sim los txheeb xyuas qhov tseeb insulin tsis kam, hauv PCOS cov neeg mob insulin tsis kam, qib ntawm txhua qhov khoom siv no feem ntau siab dua qib ib txwm.
Kauj Ruam 2. Saib xyuas kom tsis muaj menyuam
Yog tias koj muaj teeb meem xeeb tub thiab muaj kev coj khaub ncaws tsis xwm yeem, koj yuav muaj polycystic ovary syndrome. Qhov tseeb, PCOS yog qhov ua rau muaj menyuam tsis taus ntau tshaj plaws. Tsis xwm yeem lossis tsis tuaj ovulation ua rau cev xeeb tub nyuaj lossis tsis yooj yim sua.
Cov qib tshuaj ntau dua qee zaum ua rau muaj kev pheej hmoo ntawm nchuav menyuam hauv poj niam nrog PCOS uas tswj xeeb xeeb tub. Mus ntsib kws kho mob yog tias koj tsis tuaj yeem xeeb tub
Kauj Ruam 3. Ua kom rog dhau
Kev rog yog ib txwm muaj teeb meem kev noj qab haus huv, tab sis nws kuj tuaj yeem yog lub cim ntawm PCOS. Vim muaj cov tshuaj insulin ntau dhau, cov neeg mob PCOS feem ntau ntsib cov rog ntau ntau hauv lub duav thiab muaj lub ntsej muag zoo li pear. Cov neeg mob PCOS feem ntau kuj muaj teeb meem poob phaus.
Kwv yees li 38% ntawm PCOS cov neeg mob rog. Cov neeg laus uas rog feem ntau muaj qhov ntsuas lub cev hnyav (BMI) ntawm 30 lossis siab dua
Kauj Ruam 4. Saib rau kev hloov pauv ntawm daim tawv nqaij
Yog tias koj muaj PCOS, koj tuaj yeem tsim thaj ua rau pom xim daj lossis tawv dub zoo li daim tawv nqaij ntawm koj lub caj dab, lub xub pwg, tus ncej puab, thiab lub mis (ib yam mob hu ua acanthosis nigricans). Daim tawv nqaij kuj tseem tuaj yeem tshwm sim. Cov no yog cov tawv nqaij me me uas feem ntau tshwm rau ntawm lub xub pwg lossis caj dab.
Kauj Ruam 5. Saib xyuas lub plab thiab mob plab
Qee tus neeg mob PCOS tau hnov mob lossis mob hauv lub plab, plab, lossis sab nraub qaum. Qhov mob yuav ua npaws los yog raug mob, nrog rau qhov mob hnyav txij li me me mus rau mob hnyav. Qhov mob lossis mob yuav zoo ib yam li qhov mob koj hnov thaum pib ntawm koj lub sijhawm.
Kauj Ruam 6. Ua tib zoo saib kom pw zoo
Qee tus neeg mob PCOS ntsib kev tsaug zog, mob hnoos qeev thiab ua tsis taus pa ib ntus thaum pw tsaug zog. Qhov mob no tuaj yeem tshwm sim los ntawm qib ntau ntawm cov tshuaj estrogen thiab testosterone lossis los ntawm kev rog, ob qho tib si cuam tshuam nrog PCOS.
Kauj Ruam 7. Saib seb puas muaj cov tsos mob tshwm sim
PCOS cov neeg mob zoo li ua rau muaj kev ntxhov siab thiab kev nyuaj siab. Cov tsos mob no tuaj yeem tshwm sim los ntawm lub cev nqaij daim tawv, xws li kev tsis txaus ntawm cov tshuaj hormones. Cov tsos mob no tseem tuaj yeem ua rau lwm cov tsos mob, tshwj xeeb yog ntxiv me me.
Kauj Ruam 8. Txheeb xyuas tsev neeg keeb kwm
PCOS tuaj yeem yog kev mob caj ces. Yog tias koj niam lossis tus muam muaj PCOS, koj tuaj yeem muaj nws ib yam nkaus. Xav txog koj tsev neeg keeb kwm kev noj qab haus huv txhawm rau txiav txim siab seb koj puas muaj kev pheej hmoo rau PCOS.
- Cov neeg mob PCOS feem ntau muaj cov neeg hauv tsev neeg uas muaj ntshav qab zib.
- Cov neeg mob PCOS feem ntau yug me me lossis loj heev.
Ntu 3 ntawm 3: Paub Qhov Teeb Meem Ntev ntawm PCOS
Kauj Ruam 1. Mus ntsib kws kho mob
Yog koj xav tias koj muaj PCOS, nrog koj tus kws kho mob lossis kws kho menyuam yaus tham. Tus kws kho mob yuav tshuaj xyuas koj tus mob thiab nug txog koj cov tsos mob thiab keeb kwm kev kho mob.
- Keeb kwm kho mob. Koj tus kws kho mob yuav nug txog koj tsev neeg keeb kwm kev noj qab haus huv thiab kev coj ua hauv lub neej, xws li kev tawm dag zog, haus luam yeeb, noj zaub mov, thiab kev ntxhov siab. Tus kws kho mob tseem yuav nug txog koj qhov kev mob siab rau xeeb tub.
- Kev kuaj lub cev thiab lub plab. Tus kws kho mob yuav ntsuas koj thiab tshuaj xyuas koj lub cev qhov hnyav. Tus kws kho mob tseem yuav ntsuas ntshav siab, kuaj cov qog ntshav, thiab kuaj lub plab.
- Ntsuam xyuas ntshav. Kev kuaj ntshav txhawm rau txheeb xyuas qib piam thaj, insulin, roj cholesterol, androgens, thiab lwm yam kuj tseem yuav ua tiav.
- Vaginal ultrasound: Ib qho ultrasound tseem yuav ua los tshuaj xyuas seb puas muaj cov hlwv hauv zes qe menyuam.
Kauj Ruam 2. Ua kom lub cev hnyav
Yog tias koj rog lossis rog dhau, qee cov tsos mob ntawm PCOS tuaj yeem tshwm sim. Txoj kev noj qab nyob zoo tuaj yeem pab tiv thaiv qee qhov kev raug mob hnyav tshaj plaws ntawm PCOS.
- Noj zaub mov zoo, zam kev noj zaub mov nrawm, ua haujlwm ntau zaus, thiab tsis haus luam yeeb.
- Tshawb nrhiav glycemic index. Nws yog tus lej uas sawv cev ntau npaum li cas cov zaub mov ua rau nce qib insulin thaum noj. Noj cov zaub mov uas muaj qhov qis glycemic Performance index, thiab zam cov zaub mov uas muaj glycemic index siab. Lub glycemic Performance index ntawm cov zaub mov uas nquag pom muaj nyob ntawm www.glycemicindex.com.
Kauj Ruam 3. Ua tib zoo saib ntshav siab
Ntshav siab ntshav ntau heev hauv cov neeg mob PCOS. Ntsuam xyuas ntshav siab tas li.
Kev noj qab haus huv ntshav siab hauv cov poj niam yog 120/80
Kauj Ruam 4. Saib xyuas kab mob plawv
Cov neeg mob PCOS tuaj yeem muaj kev pheej hmoo siab mob plawv. Nco ntsoov muaj kev kuaj mob tas mus li, suav nrog kev kuaj mob plawv tas li.
Kev noj zaub mov zoo, tawm dag zog, thiab poob phaus tseem tuaj yeem pab txo qis kev pheej hmoo ntawm kab mob plawv
Kauj Ruam 5. Saib xyuas cov tsos mob ntawm ntshav qab zib
Cov neeg mob PCOS muaj kev pheej hmoo siab mob ntshav qab zib. Qee qhov tshwm sim tshwm sim ntawm ntshav qab zib suav nrog:
- Nquag tso zis
- Ua rau nqhis dej heev lossis tshaib plab
- Nkees heev
- Bruises lossis txiav siv sijhawm ntev los kho
- Qhov muag tsis pom kev
- Tingling, loog, lossis mob ntawm txhais tes lossis ko taw
Kauj Ruam 6. Paub txog koj txoj kev pheej hmoo mob qog noj ntshav
PCOS kuj tseem tuaj yeem ua rau muaj kev pheej hmoo mob qog noj ntshav (endometrial) hauv lub tsev menyuam, tshwj xeeb tshaj yog yog tias lub cev ntas tsis ntau lossis tsis tuaj, thiab tus mob tsis kho. Yog tias muaj qhov txawv txav hauv qib tshuaj, tus poj niam txoj kev pheej hmoo mob qog noj ntshav tuaj yeem nce ntxiv. Cov tshuaj hormonal txawv txav no tuaj yeem ua rau muaj kev nce ntau hauv cov tshuaj estrogen thiab androgen, nrog rau kev txo qis ntau ntau hauv qib progesterone.
Txoj kev pheej hmoo mob qog noj ntshav tuaj yeem txo qis los ntawm kev ua kom lub cev ntas, nrog rau tshuaj tiv thaiv menyuam yaus lossis kev tswj hwm cov tshuaj progesterone ib ntus. Lub sijhawm tsis tu ncua kuj tseem tuaj yeem ua rau muaj IUD uas muaj cov tshuaj progestins, xws li Mirena lossis Skyla
Lub tswv yim
- Yog tias koj tau kuaj pom tias muaj PCOS zoo, nyeem kab lus yuav kho PCOS kom paub ntau ntxiv txog kev kho thiab nyob nrog PCOS li cas.
- Kev kuaj mob thaum ntxov tuaj yeem pab tiv thaiv qee qhov tsos mob hnyav tshaj plaws ntawm PCOS. Yog tias koj pom muaj cov tsos mob, nrhiav kev pab kho mob tam sim. Nco ntsoov qhia koj tus kws kho mob txog txhua cov tsos mob uas koj tab tom ntsib. Tsis txhob tsom mus rau ib yam nkaus xwb, xws li tsis muaj menyuam lossis rog dhau. Muab koj tus kws kho mob daim duab qhia txog koj kev noj qab haus huv.
- PCOS cov neeg mob (lossis xav tias PCOS) yuav hnov txaj muag, nyuaj siab, lossis txhawj xeeb txog lawv cov tsos mob. Sim tsis txhob cia cov kev xav no ua rau koj tsis tau txais kev kho mob uas koj xav tau thiab ua koj lub neej kom tiav. Yog tias koj pib muaj kev nyuaj siab lossis txhawj xeeb, tham nrog koj tus kws kho mob lossis kws kho mob hlwb.
